| NPI | 1053653683 |
|---|---|
| Doing Business As | HEALTHSOURCE OF CHANHASSEN |
| Entity Type | Organization |
| Authorized Contact | SEAN D NEUBAUER Owner 612-558-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 4015) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |